Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $42.66 / $147.91	Facility		$18.62	$42.66	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.88 / $27.54	Professional		$10.00	$21.88	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $39.81 / $53.70	Facility		$24.55	$39.81	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $26.92	Professional		$10.00	$15.14	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $32.36 / $38.90	Professional		$15.14	$32.36	$38.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $50.12	Facility		$15.14	$15.14	$50.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.42 / $25.70	Professional		$15.14	$20.42	$25.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $28.18	Facility		$15.14	$15.14	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $21.88 / $50.12	Facility		$14.45	$21.88	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.62 / $79.43	Professional		$15.14	$18.62	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $44.67 / $61.66	Facility		$22.39	$44.67	$61.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.14 / $19.05	Professional		$11.22	$15.14	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $23.99	Facility		$18.20	$18.20	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.51 / $20.89	Professional		$6.31	$8.51	$20.89